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2 days ago
We are seeking an experienced Healthcare Revenue Cycle Expert to join our team. As a key member of our healthcare team, you will be responsible for managing and analyzing clinical data to ensure high-quality care and maximize reimbursement.
Responsibilities:- Coding and Compliance:
- Accurately code patient encounters using ICD-10-CM, CPT, and HCPCS codes.
- Review medical records to extract pertinent information for coding.
- Ensure code accuracy and compliance with all coding guidelines and regulations.
- Billing and Claims:
- Prepare and submit clean claims to insurance companies (both private and government).
- Follow up on denied claims and appeal denials when necessary.
- Monitor and track claim status and ensure timely reimbursement.
- Data Management:
- Accurately enter patient demographics and insurance information into the electronic health record (EHR) system.
- Maintain accurate patient records and billing data.
- Requirements:
- Education: High School Diploma or equivalent; Completion of a certified Medical Billing and Coding program preferred.
- Experience: Minimum of 2 years of experience in medical billing and coding in a physician's office or healthcare setting.
- Technical Skills: Proficiency in using electronic health record (EHR) systems.
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